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General NPI Number Information
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NPI Number | 1811021660
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Entity Type | Individual
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Provider Name | LORA ANN STUBIN-AMELIO MA, OTR, CHT
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Gender | Female
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Dates
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Enumeration Date | 03/15/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 525 E 68TH ST 142A
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City | NEW YORK
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State | NY
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Zip | 10021-4870
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Country | US
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Telephone | 212-746-1546
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Fax | 212-746-1611
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Provider Business Mailing Address
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Address Line | 160 E 89TH ST #4C
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City | NEW YORK
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State | NY
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Zip | 10128-2305
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Country | US
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Telephone | 212-876-6996
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Fax | 212-987-8124
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 0045821
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License Number State | NY
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